Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 84 - End Stage Renal Disease Treatment Facilities
Subchapter C - Personnel
Section I-8439 - General Provisions
Universal Citation: LA Admin Code I-8439
Current through Register Vol. 50, No. 9, September 20, 2024
A. Administration
1. The administrative staff
shall be qualified and adequate to assure adherence to all licensing
standards.
2. Qualifications of all
facility staff shall meet or exceed those required by federal
regulations.
3. Facility compliance
with licensing standards shall determine adequacy of available administrative
oversight.
4. Facilities shall be
organized so that administrative personnel do not perform any clinical duties
and/or make clinical decisions, unless the individual is licensed or certified
to make clinical decisions.
B. Referrals, Credentials, and Contract Services
1. Facility personnel shall report
referral violations of laws, rules, and professional and ethical codes of
conduct to HSS and to appropriate licensing boards when applicable. The
facility shall maintain records and have written policies governing staff
conduct and reporting procedures that comply with this requirement.
2. The facility administrator is responsible
for assuring that all credentials are from accredited institutions, are legal,
and have been verified to deter the fraudulent use of credentials.
3. The facility must have formal written
agreements with outside professionals or other entities retained to provide
contract services. Written agreements shall express the responsibilities
between the two parties, be signed by both parties and shall either be
time-limited or remain in effect until either party terminates the agreement in
writing.
C. Staffing Criteria. Each facility shall develop and implement staffing level criteria to assure compliance with all licensing standards and to provide quality care within the established parameters of current standards of practice.
1. Consideration for determination of
adequate nursing staffing levels will include:
a. acuity of patients;
b. physical design of facility;
c. equipment design and complexity;
and
d. additional pertinent
information as needed.
2. A registered nurse or physician shall be
present during and after treatment and until the last patient has left the
facility.
3. Any experience used to
qualify for any position must be counted by using one year of experience equals
12 months of full-time work.
4. A
person may hold more than one position within the facility if that person is
qualified to function in both capacities, and the required hours for each job
are separate and apart for each position.
5. Social work staffing shall be based on the
staffing guidelines developed by the Council of Nephrology Social Workers which
addresses the following:
a. treatment
setting;
b. number of patients seen
or anticipated to be seen in a year;
c. their psychological risk (acuity);
and
d. the number of mutually
agreed upon social work functions, including, but not limited to:
i. psycho-social evaluations;
ii. casework counseling;
iii. group work;
iv. information and referral;
v. facilitating community agency
referral;
vi. team care planning
and collaboration;
vii. transfer
planning;
viii. pre-admission
planning;
ix. discharge
planning
x. facilitating use of
hospital and/or facility services
xi. patient/family education;
xii. financial assistance;
xiii. staff consultation; and
xiv. community health services.
AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153 and R.S. 40:2117.4.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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